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Stable Solitary KS Observation — SCE Infectious Diseases MCQ

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HardHIV MedicineStable Solitary KS ObservationSCE Infectious Diseases

A person with suppressed HIV and preserved CD4 count has one small stable cutaneous Kaposi sarcoma lesion and no visceral disease. What is a reasonable management approach?

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Correct answer: E — Continue ART; observe or locally treat the solitary cutaneous lesion

The best answer is “Continue ART; observe or locally treat the solitary cutaneous lesion”. Limited stable cutaneous KS can be managed with continued virological suppression and surveillance; local therapy is available, while systemic chemotherapy is reserved for progressive, symptomatic or visceral disease. BHIVA guidance governs investigation and treatment of HIV-associated disease and supports standard specialist care when HIV is virologically controlled.

Reference: BHIVA clinical guidelines: https://bhiva.org/clinical-guidelines/